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2655 CARLSBAD BLVD; ; CB081032; Permit
06-03-2008 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB081032 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 2655 CARLSBAD BL CBAD MISC 2031420300 $000 Subtype REROOF Lot* 0 BEACH ST DAY SPA- 1400 SF CLAY TILE REROOF Status Applied Entered By Plan Approved Issued Inspect Area Applicant PARADISE ROOFING STEB 6622 BELL BLUFF AV SAN DIEGO CA 92119 619582-0109 Owner PHILLIPS JACK D 2667 OCEAN ST CARLSBAD CA 92008 ISSUED 06/03/2008 LSM 06/03/2008 06/03/2008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $12600 $000 $000 $12600 Total Fees $12600 Total Payments To Date $12600 Balance Due $000 t:Inspector^ FINAL/ Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required .nformation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water did sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations ''3s previously otherwise expired City of Carlsbad 1635 Faraday Ave , Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 Building Permit Application Plan Check No. C&OS Est. Value Plan Ck. Deposit Date i JOB ADDRESS | Ct/PROJECTS"" '•' DESCRJPTIONOF WORK" Lonr PHASE ft " lit Of UMTS (("BEDROOMS SUITE#/SPACE#/UNIT# S'BATH ROOMSI TENANTTTUSTNESS NAM~E C3NSTR TYPE I OCC GROUP f urr EXISTING USE CONTACT NAME (If Different Fom Applicant) PROPOSED USE GARAGE (SF) ADDRESS CITY PHONE EMAIL PROPERTY OWNER NAN1E ADDRESS CITY PHONE -7 d*o ~] 2. o oo ( 7 STATE ZIP FAX ST STATE ZIPc/v . FAX EMAiL ARCH/DESIGNER NAME & ADDRESS STATE LIC # PATIOS (SF) DECKS (SF) FIREPLACE YESD # AIR CONDITIONING FIRE SPRINKLERS NO D YES D NO D YES D NO D APPLICANT NAME , ., , . \ n c frftj tf&fZ.OV ^/^V ADDRESS ___ 6LHFF AVG" CITY - STATE ZIP ^"b CA ll-i/f PHONE G/7 Zoo g73o EMAIL flif 5"S2. 7ZC.2. CONTRACTOR BUS NAME^ __ ^> __ ' ADDRESS , 6^2-^-8> 6£7/ fgLL/PF Al/e CITY ^ STATE ZIP S- ^>. G4^ 1T-II? PHONE EMAIL STATE LIC # -7Z3"2-C7 % FAX CLASS I CITY BUS LIC #,£-57 1 / ^^is-^3 [Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, liter improve demolish or repair any structure, pnor to its issuance also requires the applicant for such permit to Tile a signed statement that he is licensed pursuant to the provisions of (he Contractors License Law {Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code} or that he o exempt therefrom, and the basis for the alleged exemption Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {SSOO}) Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations D I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued : Slhave and will maintain workers' compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My workers' compensation msurance^arrier and policy number are Insurance Co J D p0llcy No -oc?<3 -O7 Expiration Date j This section need not be completed if the permit is for one hundred dollars ($100) or less | CJ Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of I California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&1 00,000), in i addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees \ I hereby affirm that I am exempt from Contractor s License Law for the following reason CI I as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees provided that such improvements are not intended or offered for sale If however the building or improvement is sold within one year of completion Ihe owner builder will have the burden of proving that he did not build or improve for the purpose of sale) D I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon and contracts for such projects with contraclor(s) licensed pursuant to the Contractor s License Law) n I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construclion of the proposed property improvement D Yes O No 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone / contractors license number) 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include namp / address / phone / type of work) > PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act' n Yes O No Is Ihe applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' D Yes O No Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 n Yes n No IF ANY OF THE ANSWERS ARE YES, / ! EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) ! Lender's Name Lender's Address I I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction i thereby authorize representative of the City of Cartsbad to enter upon trie above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD ! AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT | OSH A An OSH A permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issued by the Building Official under Ihe provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building Code) i APPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS:Z. (g 5TS CAft S fl ft B LV 2. TYPE OF BUILDING: RESIDENTIAL _ COMMERCIAL. 3. ROOF SLOPE: RISE I INCHES IN 1 2 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 ^2\ 3 5. TYPE OF EXISTING ROOF COVERING CO>v\P SHEATHING *6. NEW ROOF MATERIAL "^ ^ _ CLASS A WEIGHT PER 7. NUMBER OF SQUARES__J_!r/ _ 8. TRADE NAME £ ?l^£ £//b/ MANUFACTURER (J - S • "T( Lg" 9. ROOF SYSTEM LISTING: UL NO. _ I.C.C.E.S. Report ASTM _ # 3 S" Z > 10. JS THE EXISTING STRUCTURAL DES|GN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (YES I NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the following inspections are required: 1 . Tear Off/Pre-lnspection prior to install new roof covering 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature ^VV>^^-L ^. _ Date» / \ \ ^ l /* \ ^ft-^ .Contractor Name fafy\\>/$6' "6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass. Built Up, Other DATE / \ fr I 0 i INSPECTOR PERMIT #PLAN CHECK # JOB ADDRESS DESCRIPTION CODE DESCRIPTION ACT COMMENTS City of Carlsbad Bldg Inspection Request For 06/04/2008 Permit* CB081032 Title BEACH ST DAY SPA- 1400 SF Description CLAY TILE REROOF Inspector Assignment Type MISC Sub Type REROOF Job Address 2655 CARLSBAD BL Suite Lot 0 Location APPLICANT PARADISE ROOFING Owner PHILLIPS JACK D Remarks 1stjnspectionj?f the day Total Time CD Description 15 Roof/Reroof Act Comments Phone 6192008730 Inspector Requested By JOE Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments Check A License Contractor's License Detail \ Page 1 of 2 ! 01 i | CONSUMERS Skip to CSLB Home | Content | Fooler | Accessibility Search Department of Consumer Affairs •• ••"•,' . •• •..., Contractors State Licnse" Board ^T^ 01 02 j CONTRACTORS 03 APPLICANTS ! 04 JOURNEYMEN 05 PUBLIC WORKS 06 0? BUILDING OFHCSALS GENERAL IHFQ About CSLB CSLB Newsroom Board and Committee Meetings Disaster Information Center CSLB Library Frequently Asked Questions Online Services s> i, hock A Lii"t?nse or HIS o Check Application Status How to Participate <!...'A DISCLAIMER A license status check provides information taken from the CSLB license database Before relying on this information, you should be awai the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject to pu complaint disclosure, a link for complaint disclosure will appear below Click on the link oi obtain complaint and/or legal action information • Per B&P 7071 17, only construction related civil judgments reported to the CSLB are disc • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitr, • Due to workload, there may be relevant information that has not yet been entered onto th license database •••IL'^TSI 723298 Extract Date 06/03/21 PARADISE ROOFING COMPANY INC 6622 - B BELL BLUFF AVENUE SAN DIEGO, CA 92119 Business Phone Number (619) 582-0109 Corporation 05/30/1996 05/09/2006 05/31/2010 This license is current and active All information below should b> reviewed License Number Business Information Entity Issue Date Reissue Date Expire Date License Status Classifications Bonding C39 ROOFING This license filed Contractor's Bond number 100005943 in the ami of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 01/01/2007 Contractor's Bonding History 1 The Responsible Managing Officer (RMO) JOSEPH KRIZOV certified that he/she owns 1 0 percent or more of the voting stock/equity of the corporation A bond of qualifying individual not required http //www2 cslb ca gov/General-Information/mteractive-tools/check-a-license/License+ 06/03/2008 Check A License Contractor's License Detail Page 2 of2 Workers' Compensation Miscellaneous Information Effective Date 05/09/2006 This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 238-0003664 Effective Date 11/01/2007 Expire Date 11/01/2008 Workers' Compensation History 05/09/2006 LICENSE REISSUED TO ANOTHER ENTITY Consumers | Contractors | Applicants | Journeymen | Public Works | Building Officials | General Info CSLB Home | Conditions of Use | Privacy | Contact CSLB Copyright © 2007 State of California http //www2 cslb ca gov/General-Inforniation/mteractive-tools/check-a-license/License+ 06/03/2008